Sechenov School
Home › Histology › Esophagus

Esophagus

Oesophagus

For medical students2 min readUpdated 2026-10-10

The esophagus is a muscular tube connecting the laryngopharynx to the stomach. The organ features the "classic" four-layer structure of the digestive tract, and its main function is the unobstructed passage of the food bolus facilitated by unfolding longitudinal folds.

Wall layersMucosa, submucosa, muscular layer, and outer layer (adventitia or serosa).
Muscular layerUpper third is skeletal muscle, middle is mixed, and lower third is smooth muscle.
ConstrictionsThree anatomical narrowings: at the cricoid cartilage, the aortic arch, and the diaphragmatic hiatus.
EpitheliumNon-keratinized stratified squamous epithelium (passing through a ciliated stage during development).

Mucosal Relief and Lining

The inner surface of the esophagus is gathered into 7–10 longitudinal folds formed by the mucosa (tunica mucosa) and submucosa. These folds flatten during the passage of food to expand the lumen.

The mucosa comprises three layers:

  1. Epithelium: Non-keratinized stratified squamous epithelium, similar to the oral mucosa. In older individuals, it may undergo partial keratinization.
  2. Lamina propria: Composed of loose connective tissue. It contains cardiac glands (simple branched tubular glands) that secrete a protein-mucus fluid and are restricted to two zones: the level of the cricoid cartilage and the gastroesophageal junction. They contain enteroendocrine cells that produce serotonin. This zone is a frequent site for pathologies (cysts, diverticula, ulcers, tumors).
  3. Muscularis mucosae: Formed by smooth myocytes. In the upper third of the organ, it consists of isolated bundles that merge further down into a continuous layer.

Submucosa and Glandular Apparatus

The submucosa (tela submucosa) is well-developed and consists of loose connective tissue. Unlike the mucosa, it houses the esophageal proper glands (glandulae esophageae propriae).

The excretory ducts of these glands pierce the mucosa and open onto the epithelial surface. The submucosa also contains large vascular and nerve plexuses, as well as lymphoid aggregates.

Muscular and Outer Layers

The muscular layer (tunica muscularis) consists of two functional layers:

Notably, in histological preparations of a canine esophagus, these layers are inverted. Intramural ganglia lie between the muscle layers, providing autonomic innervation.

The key feature of this layer is the transition of muscle tissue types. In the upper third, it is striated (skeletal) muscle; in the middle third, a mixture of skeletal and smooth muscle; and in the lower third, exclusively smooth muscle.

The outer layer over most of its extent (neck and thorax) is an adventitia composed of connective tissue rich in blood vessels. In the short abdominal segment, the esophagus is covered by a serosa (connective tissue covered by mesothelium).

Embryological Development (Histogenesis)

The esophageal epithelium has a mixed ecto-endodermal origin—it develops from the prechordal plate (oropharyngeal membrane), which is typical for the foregut. The remaining wall layers differentiate from the mesenchyme.

During ontogenesis, the epithelium undergoes a complex sequence of transformations:

  1. Simple columnar.
  2. Stratified columnar.
  3. Pseudostratified ciliated.
  4. Non-keratinized stratified squamous (final adult form).

Mnemonic

To remember the muscle transitions in the muscular layer: "Up top we swallow with skeletal muscle, down low the stomach swallows with smooth muscle, and in the middle they meet."

Frequently asked questions

What are the names of the nerve plexuses located in the submucosa and muscular layer of the esophagus?

Nerve plexuses in the esophageal wall are located in two layers:

  • Meissner's plexus (submucosal) — a nerve plexus located in the submucosa.
  • Auerbach's plexus (myenteric) — a nerve plexus containing intramural ganglia, located between the muscle layers.
What is the difference between cardiac glands and proper esophageal glands?

Cardiac glands lie within the lamina propria of the mucosa and are restricted to two zones (the beginning and end of the organ). Proper esophageal glands lie deeper in the submucosa and are distributed along the entire length of the esophagus.

What type of tissue forms the muscularis mucosae?

It consists exclusively of smooth myocytes throughout the entire length of the esophagus, unlike the main muscular layer of the organ, which transitions from skeletal to smooth muscle.

How does the epithelium change during intrauterine development?

The epithelium undergoes multiple transitions: from simple columnar to stratified, then to pseudostratified ciliated, and finally forms the definitive stratified squamous epithelium.

Go deeper

More topics in Histology

Spinal Cord Gray MatterHypothalamusPhotoreceptors: Structure, Types and PhysiologyFunctions of Endothelium and PericytesRed Bone Marrow: Histology, Structure and HemopoiesisMorphology of Lymphoid FolliclesDevelopment of the Urinary SystemEndocrine Regulation of SpermatogenesisRibosomesCell CycleHair: Structure, Follicle and Growth CycleCerebral CortexHistology →